Active NPI
Surgical Group of Gainesville PA
- Surgery Physician
- Gainesville, FL
National Provider Identifier
1396737615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0060950
- Legal business name
- SURGICAL GROUP OF GAINESVILLE PA
- Practice address
- 1143 NW 64TH Ter
Gainesville, FL 32605-4218 - Phone
- (352) 331-1201
- Fax
- (352) 331-5273
- NPI assigned
- Aug 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Panagiotis Sarantos, MD
- Title
- President
- Phone
- (352) 331-1201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0060950 | FL | Primary |
Addresses
Primary practice location
1143 NW 64TH Ter
Gainesville, FL 32605-4218
Mailing address
1143 NW 64TH Ter
Gainesville, FL 32605-4218
Phone (352) 331-1201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253318901 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2184735 | Surgical Group of Gainesville PA | Certificate of waiver | May 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
1143 NW 64th Ter
Gainesville, FL 32605
Phone (352) 331-1201
239 SW 7th Ter
Ste C
Gainesville, FL 32601
Phone (352) 338-0045
1143 NW 64th Ter
Ste C
Gainesville, FL 32605
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Orlando, FL
- NPI 1992741730
-
- Surgery Physician
- Gainesville, FL
- NPI 1023015823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335312000000",
"number": "1396737615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 NW 64TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054218",
"telephone_number": "352-331-1201",
"fax_number": "352-331-5273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1143 NW 64TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054218",
"telephone_number": "352-331-1201",
"fax_number": "352-331-5273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL GROUP OF GAINESVILLE PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-23",
"last_updated": "2012-04-25",
"status": "A",
"authorized_official_last_name": "SARANTOS",
"authorized_official_first_name": "PANAGIOTIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-331-1201",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME0060950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253318901",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.